Electronic and Paper Claims Filing -- We have the capability to transmit claims electronically to a robust list of insurance carriers nationwide. Claims are checked against updated editing criteria specific to each carrier. Claims for some secondary payers, workers' compensation, personal injuries, and some smaller carriers without electronic abilities are submitted via paper.
Follow-up on Submitted Claims --We provide follow-up on all delinquent claims-primary, secondary, and tertiary- by calling to verify receipt, check status, and ensure processing as appropriate.
Patient and Insurance Payment Posting -- When you receive payment, simply forward us a copy of the Explanation of Benefits (or comparable document), patient receipt, or completed day sheet. We will review all EOBs for accurate reimbursement, and then promptly post all payments to the appropriate accounts.
Patient Invoicing --Once a month, statements are sent to patients with remaining balances until those balances reach 90 days past due. Patients with balances more than 90 days past due will be reported to the provider, who then decides what further action is to be taken.
Management Reports -- We can provide you with your choice of a multitude of management reports, some of which include: patient, procedure and payment day sheets; practice analysis; referring provider reports; patient and insurance aging reports; and patient ledgers.
Handling Patient Billing Inquiries -- We will field patient phone calls about patient invoices and accounts, or general insurance questions.
Please feel free to contact us regarding any service in which you may be interested that is not listed here.